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2024 (English) In: Journal of Surgical Case Reports, E-ISSN 2042-8812, Vol. 2024, no 1, article id rjad709Article in journal (Refereed) Published
Abstract [en] A defunctioning stoma is used to alleviate the consequences of anastomotic leakage after low anterior resection for rectal cancer. A loop ileostomy is often preferred but may lead to dehydration and kidney injury. Here, we present a case series for an alternative: the left-sided loop colostomy. A convenience sample of four patients underwent robotic low anterior resection for rectal cancer. A complete splenic flexure mobilization and a total mesorectal excision were performed. To defunction the anastomosis, the redundant left colon was brought up to a stoma site in the left iliac fossa and matured as a loop colostomy. Two patients experienced minor stoma leaks and one also had a small prolapse, while all patients had their colostomies reversed on average 7 months after surgery without complications. There were no dehydration episodes and creatinine levels remained within baseline levels at end of follow-up (on average 18 months).
Place, publisher, year, edition, pages
Oxford University Press, 2024
Keywords anastomotic leakage, defunctioning stoma, loop stoma, total mesorectal excision
National Category
Surgery
Identifiers urn:nbn:se:umu:diva-220445 (URN) 10.1093/jscr/rjad709 (DOI) 001141131100005 () 2-s2.0-85183294769 (Scopus ID)
Funder Region Västerbotten, HSN 530-2022
2024-02-152024-02-152025-03-20 Bibliographically approved